SHANA J SEWELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043277

License Status

EXPIRED

Business

First Name

SHANA

Middle

Last Name

SEWELL

Suffix

Business Name

SHANA J SEWELL DO

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

09/26/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006